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DETRICH BROWN NP
NPI 1073169249
Nurse Practitioner - Family in York, PA

Active since August 14, 2019PECOS Enrolled
1401 ROOSEVELT AVE, YORK, PA 17404(717) 812-7000(717) 767-8985 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Detrich Brown Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DETRICH BROWN NP (NPI 1073169249) is an individual family provider in York, Pennsylvania, licensed in Pennsylvania (SP020675) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073169249
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDETRICH BROWNCredential: NP
Location Address1401 ROOSEVELT AVEYork, PA 17404-2244
Mailing Address1401 Roosevelt AveYork, PA 17404-2244 · (717) 812-7000 · Fax (717) 767-8985
Phone(717) 812-7000
Fax(717) 767-8985
Sole ProprietorNo
Enumeration DateAugust 14, 2019
✔ NPI 1073169249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP020675
1401 ROOSEVELT AVE, York, PA 17404
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Detrich Brown Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Detrich Brown reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellspan Medical Group
Same address
Internal Medicine
1401 ROOSEVELT AVE
York, PA 17404
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1437774098 (717) 812-4053
York Hospital
1.5 mi
Clinic/Center
605 S GEORGE ST, SUITE 200
York, PA 17403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 272 clinicians in this Medicare group
NPI 1497814040 (717) 851-2334
Infinite Medical PC
310 mi
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 97 clinicians in this Medicare group
NPI 1407483175 (718) 964-6161
Monogram Health Professional Services PC
612 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 99 clinicians in this Medicare group
NPI 1134739089 (615) 465-8684
Signify Health Medical Associates, PLLC
1,216 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Maryland and Pennsylvania enrollments
  • 227 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAIME HENSON CRNP
Nurse Practitioner (Family)
1401 ROOSEVELT AVE
YORK, PA 17404
York County (717) 356-6250
EMILY M WARNER CRNP
Nurse Practitioner (Family)
1401 ROOSEVELT AVE
YORK, PA 17404
York County (717) 812-7000
MRS. STEPHANIE ELIZABETH BOYER CRNP
Nurse Practitioner (Family)
1401 ROOSEVELT AVE
YORK, PA 17404
York County (717) 356-6250
DR. BRUCE EDGAR WALTHER MD
Family Medicine
1401 ROOSEVELT AVE
YORK, PA 17404
York County (717) 356-6250
DR. SARA ELIZABETH IONESCU M.D.
Family Medicine
1401 ROOSEVELT AVE
YORK, PA 17404
York County (717) 356-6250
NICOLE JEAN LOUISE BYERS CRNP
Nurse Practitioner (Pediatrics)
1401 ROOSEVELT AVE
YORK, PA 17404
York County (717) 356-6250
MRS. VERONICA LYNN WEISSNER MSN, FNP-BC
Nurse Practitioner (Family)
1401 ROOSEVELT AVE
YORK, PA 17404
York County (717) 812-7000
HOLLY NADINE CARNEY
Nurse Practitioner (Family)
1401 ROOSEVELT AVE
YORK, PA 17404
York County (717) 356-6250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Detrich Brown's NPI number?

The NPI number for Detrich Brown is 1073169249. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Detrich Brown located?

Detrich Brown practices at 1401 Roosevelt Ave, York, PA 17404. The listed phone number is (717) 812-7000.

What is Detrich Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Detrich Brown enrolled in Medicare?

Yes. Detrich Brown is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Detrich Brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Detrich Brown reassigns Medicare benefits to 5 organizations: Wellspan Medical Group (York, PA), York Hospital (York, PA), Infinite Medical PC (Bristol, RI), Monogram Health Professional Services PC (Brentwood, TN) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Detrich Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Detrich Brown was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.